Q: What is Rhinoplasty Surgery, Nose Job?
A: A Rhinoplasty is a Plastic Surgery operation carried out to reshape the nose to achieve a more aesthetically balanced nose or correct a deformity of the nose which may be congential (born with) or following an injury. Rhinoplasty surgery is commonly a reduction of a large nose, Reduction Rhinoplasty. However, some patients have a nose which is too small for their features and an Augmentation Rhinoplasty is therefore required. A Corrective Rhinoplasty is correctly used for reshaping the nose following an injury while a Revision Rhinoplasty aims to correct a residual deformity(es) following a prior Rhinoplasty.
Q: What are the benefits of Rhinoplasty Surgery?
A: The nose is central to the face and therefore a nose which is out of balance to the face (forehead and chin) stands out and becomes the dominant feature (look at family photos!). Rhinoplasty surgery aims to correct this imbalance in the nose and therefore make the nose less obvious i.e. aesthetically balanced with the facial proportions. It is important to realise that each nose is unique and must be in balance with the rest of the face – or it will stand out. The best Rhinoplasty should be almost undetectable as the nose is in balance with the face. This result can restore self-confidence and boost self-esteem.
Q: Am I the ideal patient for Rhinoplasty Surgery?
A: If you would like to improve your nose to achieve an aesthetically balanced nose which is in proportion to your face, then Rhinoplasty surgery is right for you. Rhinoplasty Surgery can correct deformities resulting from an injury or with which you were born or developed in adulthood. You should be realistic as to what can be achieved by Rhinoplasty Surgery and understand the risks and side effects of this surgery.
Q: Does Rhinoplasty Surgery require a general anaesthetic or hospitalisation?
A: Rhinoplasty surgery is performed under general anaesthetic, commonly as a day-case or overnight procedure.
Q: How long is the Rhinoplasty procedure?
A: Rhinoplasty Surgery normally takes approximately up to 2 hours to perform depending on the complexity of the surgery.
Q: What about the scars following Rhinoplasty, Nose Job Surgery?
A: Most cases of first Rhinoplasty, Nose Job Surgery do not require any external or visible scar. However, in some cases, commonly following injuries, but also developmental abnormalities of the nose, an external scar in the columella is necessary to perform an Open Rhinoplasty. Open Rhinoplasty should be reserved for complex tip surgery and revision surgery to the tip of the nose, it should not be used in every Rhinoplasty. Occasionally, some noses are too wide and this requires a resection of tissue around the nostrils, resulting in a scar in the groove between the nostril and the cheek; i.e. the alar base resection.
Q: Will packs be used in the nostrils after Rhinoplasty Surgery?
A: In the majority of Rhinoplasty Surgery, small dressings will be inserted into the nostrils at the end of the operation. Packs are utilised to absorb any bleeding after the operation and importantly splint or support the internal part of the nose in the early post operative period. In complex Nose Surgery, e.g. septo-rhinoplasty, the nasal packs may be required for 7 days post operatively. The packs are normally removed before you leave Hospital or at your 1 week post op visit.
Q: Can Rhinoplasty Surgery be performed at the same time as other procedures?
A: Yes, Rhinoplasty, Nose Reshaping is commonly performed together with other face surgery such as Facelift, Browlift, Chin Augmentation or reduction as well as Breast Surgery, Breast Augmentation or Liposuction. What is appropriate and safe for you to combine will depend on your Medical Health, your goals and the individual procedures.
Q: What reassurance do I have with Rhinoplasty, Nose Job Surgery?
A: At Cosmetica, we understand that your decision to have Rhinoplasty Surgery can be a daunting and anxious time for you. Our aim is to fully understand your concerns and desires, and assess your nose accurately, before agreeing on a treatment plan which is in your best interest. If for any reason you are unsuitable for Rhinoplasty Surgery, you will be advised against this form of surgery. We will provide you with all the information you need and support before, during and after your surgery.
Q: How long is the recovery time?
A: Mild pain / discomfort is expected for 3 – 5 days. Patients can go back to their normal daily activities after 1 week, but avoid strenuous exercise / activity for 6 weeks including any contact sports.
Q: What about the results of Rhinoplasty Surgery, Nose Job?
A: The results are first and foremost natural. The goals of Rhinoplasty surgery are to restore an aesthetically pleasing nose which is in balance with your facial features – i.e. looks natural and does not appear abnormal. Each nose is individual and therefore what is suitable for you will not necessarily be good on another face and vice versa. Remember that it can take up to 12 or 18 months before the final appearance of the nose is achieved.
Q: What are the risks of Rhinoplasty Surgery?
A: Common to all surgical procedures there are always risks associated with surgery. However, complications are uncommon. The most frequent is irregularity following surgery in about 5%. This may require revision surgery or nonsurgical treatment. Bruising is common and may take 2 weeks to resolve, while major bleeding is rare. Infection is infrequent (less than 0.5%) and will require a course of appropriate antibiotics. Hypertropic or keloid scarring is also rare but will require specific treatments to reduce the scarring.
Q: How long do the results last?
A: The results of Rhinoplasty are permanent but note that as you age your nose will change over the years. For example, the tissues around the tip of the nose may become thinner and allow the tip to droop.
Q: Is there an alternative to a Rhinoplasty, Nose Job Surgery?
A: Yes, if Rhinoplasty Surgery is not appropriate or not desired, non-surgical shaping of the nose using an injectable product such as Radiesse can provide good improvement in the shape and symmetry of the nose in a simple local anaesthetic treatment.